GESTIÓN EN SALUD PÚBLICA: ProMED-mail

27 Jul 2018 Cyclosporiasis - USA (08): salad
27 Jul 2018 Undiagnosed disease, mandarin - Pakistan: (PB)
27 Jul 2018 Norovirus - USA (ME), UK: summer outbreaks
27 Jul 2018 Net blotch, barley - Australia: fungicide resistance (WA)
27 Jul 2018 African swine fever - Europe (30): Moldova (GA) domestic swine, OIE
26 Jul 2018 Rabies - China: human, vaccine production violations
26 Jul 2018 African swine fever - Europe (29): Romania (IL, SJ) domestic swine wild boar OIE
26 Jul 2018 Leishmaniasis - USA: autochthonous transmission
26 Jul 2018 African swine fever - Europe (28): Czech Republic, wild boar
26 Jul 2018 Hantavirus - Americas (46): Panama (LS)
26 Jul 2018 Japanese encephalitis - Taiwan (06)
26 Jul 2018 Scrub typhus - India (02): (MZ) fatal, more cases
26 Jul 2018 Strangles, equine - USA (04): (ID)
26 Jul 2018 Lead poisoning, eyeliner - Australia: (Sydney) ex Pakistan, alert
25 Jul 2018 Equine infectious anemia - Canada (04): (SK) equine
25 Jul 2018 Ebola update (54): Congo DR, cases, therapeutics
25 Jul 2018 Tick-borne encephalitis - Switzerland (02): vaccine recommendation
25 Jul 2018 Rift Valley fever - Eastern Africa (20): Kenya, animal, spread
25 Jul 2018 Cyclosporiasis - USA (07)
25 Jul 2018 Foot & mouth disease - Algeria (04): bovine, st O, genotyped topotype EA-3
25 Jul 2018 Rift Valley fever - Eastern Africa (20): Kenya
25 Jul 2018 Citrus canker - Martinique
25 Jul 2018 West Nile virus (09): Europe update, Greece
25 Jul 2018 Bluetongue - Kenya: (SA, NK) not typed, ovine, OIE
24 Jul 2018 Rift Valley fever - Eastern Africa (19): Uganda, WHO
24 Jul 2018 Measles update (46): Americas, Asia, Indian Ocean, Europe
24 Jul 2018 Defective drug (valsartan) & vaccines (rabies DTaP) - China (02): recalls
24 Jul 2018 Varicella update (12): Colombia (Medellin)
24 Jul 2018 Anthrax - Russia (02): (TU) bovine
24 Jul 2018 Defective drug (valsartan) & vaccines (rabies DTaP) - China: multicountry recalls
24 Jul 2018 Murine typhus - USA (03): (TX) increasing cases
23 Jul 2018 Canine distemper, wildlife - USA (03): (NY) raccoon, alert
23 Jul 2018 Avian influenza (87): Denmark (East) wild bird, HPAI H5N6, OIE
23 Jul 2018 Malaria - new drug: Tafenoquine
23 Jul 2018 Schistosomiasis - Myanmar
23 Jul 2018 Salmonellosis, st Reading - USA (02): raw turkey products
23 Jul 2018 Foot & mouth disease - Algeria (03): bovine, st O, spread, OIE
23 Jul 2018 Syphilis - USA (07): (CA) rising incidence, men, women, congenital
22 Jul 2018 Avian influenza (86): Saudi Arabia (RI) HPAI H5N8
22 Jul 2018 E. coli EHEC - Ireland (03): (GY) daycare
22 Jul 2018 Leishmaniasis, cutaneous - Israel (02): spread
22 Jul 2018 Anthrax - Australia (05): (QL) bovine
21 Jul 2018 Peste des petits ruminants - Bulgaria (04): (YA) spread, assessment, OIE
21 Jul 2018 Leishmaniasis, cutaneous - Israel: spread
21 Jul 2018 Influenza (22): WHO global update, Namibia
20 Jul 2018 Measles update (45): Europe, Americas, Africa
20 Jul 2018 Poliomyelitis update (30): global, WPV, cVDPV, vaccine reaction, fatigue
20 Jul 2018 Newcastle disease, poultry - USA (11): (CA) more flocks
20 Jul 2018 Ebola update (53): Congo DR, cases, surveillance, action
20 Jul 2018 Trichinellosis - Argentina: (CB) homemade sausage
20 Jul 2018 Typhoid fever - Pakistan (05): multidrug resistance, spread
20 Jul 2018 Rift Valley fever - Eastern Africa (18): Uganda
20 Jul 2018 Vibrio vulnificus - USA: (FL) fatal
20 Jul 2018 Eastern equine encephalitis - USA (12): (FL,NC) case, comment
20 Jul 2018 Pertussis (08): Australia, USA, Canada, Dominican Republic
19 Jul 2018 E. coli EHEC - Norway: O157, RFI
19 Jul 2018 Strangles, equine - USA (04): (NY)
19 Jul 2018 Invasive tick - USA (09): (NY)
19 Jul 2018 Chronic wasting disease, cervid - USA (11): (WI)
19 Jul 2018 Cholera, diarrhea & dysentery update (25): Africa, Asia
19 Jul 2018 Newcastle disease, poultry - USA (10): (CA) more flocks
19 Jul 2018 Novel coronavirus, bat - Myanmar
19 Jul 2018 Downy mildew, grapevine - Cyprus: (PA)
19 Jul 2018 Tomato chlorosis virus - Netherlands
19 Jul 2018 Strep. Group B - Singapore: serotype III, ST283, invasive, foodborne, raw fish
19 Jul 2018 Japanese encephalitis - Taiwan (05)
19 Jul 2018 Undiagnosed fever - India: (GA) RFI
19 Jul 2018 Hantavirus - Americas (45): Panama (LS)
19 Jul 2018 Newcastle disease, poultry - USA (09): (CA) comment
19 Jul 2018 West Nile virus (08): Greece, equine, OIE
18 Jul 2018 Coral reef kill - USA (02): (FL) spread
18 Jul 2018 Malaria - Viet Nam: (BP)
18 Jul 2018 Anthrax - Italy (03): (CM) caprine, OIE
18 Jul 2018 Malaria - India (DL)
18 Jul 2018 Foot & mouth disease - Algeria (02): (TO) bovine, st O, spread
18 Jul 2018 Classical swine fever - Russia: (MS) domestic, OIE
18 Jul 2018 Carbapenem-resistant K.pneumoniae - EU: OXA-48, tourist, ex hosp Gran Canaria
18 Jul 2018 Syphilis - New Zealand (02): congenital
18 Jul 2018 Legionellosis - USA (09): (NYC) more cases
18 Jul 2018 Dengue/DHF update (14): Asia, vector mod, vaccine
17 Jul 2018 Herpesvirus, elephant - Malaysia: fatal, susp
17 Jul 2018 Newcastle disease, poultry - USA (08): (CA) more cases
17 Jul 2018 Equine infectious anemia - USA (05): (TX)
17 Jul 2018 Cholera, diarrhea & dysentery update (24): Asia (Yemen)
17 Jul 2018 Lumpy skin disease - Europe (02): Russia (SA) bovine, OIE
17 Jul 2018 Rift Valley fever - Eastern Africa (17): Uganda
17 Jul 2018 Lassa fever - West Africa (38): Nigeria
17 Jul 2018 Nipah virus - India (16): (KL) review
16 Jul 2018 Rift Valley fever - Eastern Africa (16): Kenya, animal, spread, control
16 Jul 2018 Anthrax - India (10): (OR) bovine, human exposure
16 Jul 2018 Anthrax - France: (MO,HA) bovine, OIE
16 Jul 2018 Measles update (44): Americas, Europe, Asia
16 Jul 2018 Leishmaniasis - Pakistan (02): (NW)
16 Jul 2018 Botulism, avian - UK: (England) waterfowl, susp
16 Jul 2018 Neospora caninum, bovine - UK (03): (Wales) update, comment
16 Jul 2018 Wart disease, potato - Ukraine: (IF,CV)
15 Jul 2018 Invasive tick - USA (08): (NC)
15 Jul 2018 Feline panleukopenia - Americas: USA, need for vaccination
15 Jul 2018 Saltwater poisoning, canine - USA (02): (FL) comment
15 Jul 2018 Foot & mouth disease - Palestinian Auth (03): (WE) spread, st untyped, OIE
15 Jul 2018 Campylobacteriosis - New Zealand: (SI)
15 Jul 2018 Measles update (43): Libya
14 Jul 2018 Vibrio parahaemolyticus - USA (03): imported Venezuelan crab meat
14 Jul 2018 Rift Valley fever - Eastern Africa (15): Kenya
14 Jul 2018 Plague - Peru: (LB) septicemic, fatal
14 Jul 2018 Hepatitis A - USA (30): (WV, AR)
14 Jul 2018 Saltwater poisoning, canine - USA: (FL) fatal
14 Jul 2018 Newcastle disease, poultry - USA (07): (CA) more cases
14 Jul 2018 Toxoplasmosis - Brazil (02): (RS)
14 Jul 2018 Leptospirosis - India (02): (KL)
14 Jul 2018 Legionellosis - USA (08): (NYC)
14 Jul 2018 African swine fever - Europe (27): EFSA scientific opinion, comment
13 Jul 2018 Hepatitis A - USA (29): (KY, IN)
13 Jul 2018 Salmonellosis, st Mbandaka - USA (02): breakfast cereal, alert, recall
13 Jul 2018 Rabies (41): Americas (USA) bat (CO), cat (LA), dog (TX), human exposure
13 Jul 2018 Eastern equine encephalitis - USA (11): (NC) new case
13 Jul 2018 Cyclosporiasis - USA (06): (IL, IA)
13 Jul 2018 Undiagnosed deaths, bovine - Zimbabwe: (ME) 2017, RFI
13 Jul 2018 Undiagnosed deaths, equine - USA: (HI) RFI
13 Jul 2018 Chlorotic streak, sugar cane - Australia: new pathogen
13 Jul 2018 Ebola update (52): Congo DR, cases, health workers, W Africa survivor problems
13 Jul 2018 Rift Valley fever - Eastern Africa (14): animal vaccination, FAO alert
12 Jul 2018 Tularemia - USA (05): (CO) pneumonia
12 Jul 2018 Anthrax - Kyrgyzstan (02): (DA) bovine, OIE
12 Jul 2018 Rabies (40): Americas (USA), bat (KS), fox (AL) comment
12 Jul 2018 Amebic meningoencephalitis, primary - Pakistan (04): (SD) fatal
12 Jul 2018 Poliomyelitis update (29): global (Afghanistan, Somalia, Pakistan)
12 Jul 2018 Measles update (42): Somoa, MMR vaccine recall
12 Jul 2018 Eastern equine encephalitis - USA (10): (NC)
12 Jul 2018 Rocky Mountain spotted fever - USA (02): (WI) fatal
12 Jul 2018 Fungal diseases, apple - India: (JK)
12 Jul 2018 Virus & blast diseases, rice - Viet Nam: (Mekong Delta)
12 Jul 2018 Gastroenteritis - USA (03): (TN) zipline course
11 Jul 2018 Japanese encephalitis & other - India (13): (UP)
11 Jul 2018 African swine fever - Europe (26): Romania, spread, EFSA scientific opinion
11 Jul 2018 MERS-CoV (23): Saudi Arabia, WHO, RFI
11 Jul 2018 Chlamydia caviae: community-acquired pneumonia
11 Jul 2018 Avian influenza (85): France (IF) poultry, LPAI H7N7, OIE
11 Jul 2018 Equine infectious anemia - USA (04): (MD)
11 Jul 2018 Newcastle disease, poultry - USA (06): (CA) more cases
11 Jul 2018 Silvering disease, sugar beet - Netherlands
11 Jul 2018 Rift Valley fever - Eastern Africa (13): Uganda, WHO
11 Jul 2018 Tick-borne encephalitis - Switzerland
11 Jul 2018 Lassa fever - West Africa (37): Liberia, WHO
10 Jul 2018 Hepatitis A - Sweden: Polish frozen strawberries
10 Jul 2018 Gastroenteritis - USA (02): (TN) zipline course
10 Jul 2018 Equine infectious anemia - Canada (03): (AB) equine
10 Jul 2018 Anthrax - Albania: (DB) bovine
10 Jul 2018 Rabies (39): Americas (USA) fox, human exposure, susp
10 Jul 2018 Brucellosis - Algeria: (TO) unpasteurized cow's milk
10 Jul 2018 Poliomyelitis update (28): (DR Congo, Papua New Guinea) cVDPVs, WHO
10 Jul 2018 Nipah virus - India (15): (AS, WB) fruit bats
10 Jul 2018 Vibrio parahaemolyticus - USA (02): (MD) imported Venezuelan crab meat
09 Jul 2018 Hepatitis E - Namibia (10): more cases, fatal
09 Jul 2018 African swine fever - Europe (25): Romania (BH) domestic swine, OIE
09 Jul 2018 Ebola update (51): Congo DR, cases, response
09 Jul 2018 Rift Valley fever - Eastern Africa (12): FAO, forecast
09 Jul 2018 Hepatitis A - USA (28)
09 Jul 2018 Eastern equine encephalitis - USA (09): (VA) EEE & WNV equine vaccination
09 Jul 2018 Rabies (38): Americas (USA) deer, fox, skunk
09 Jul 2018 Neospora caninum, bovine - UK (02): (Wales) spread, prev., control, comment, RFI
09 Jul 2018 Botulism - USA (06): (CA) wound, injection drug-related
09 Jul 2018 Measles update (41): Americas, Europe, Pacific
09 Jul 2018 Yersiniosis - Norway: undefined source
09 Jul 2018 Invasive tick - USA (07)
08 Jul 2018 St Louis encephalitis virus - USA: (CA)
08 Jul 2018 Colorado tick fever virus - USA: (OR)
08 Jul 2018 Mycoplasma bovis, bovine - New Zealand (12): Notice of Direction
08 Jul 2018 E. coli EHEC - USA (22): (WA) restaurants
07 Jul 2018 Rabies (37): Americas (USA) raccoon, feline, human exposure
07 Jul 2018 Eastern equine encephalitis - USA (08): (FL) equine
07 Jul 2018 Hantavirus - Europe: Germany (RP) 2017, increased incidence
07 Jul 2018 Ciguatera toxin - Bahamas (2): (NW) conch, correction, Vibrio sp. laboratory confirmation
07 Jul 2018 Scabies - Iraq: (NI)
06 Jul 2018 Ebola update (50): Congo DR, Japanese response, CIDRAP, WHO, survey
06 Jul 2018 Poliomyelitis update (27): global
06 Jul 2018 Listeriosis - Europe (04): fatal, ST6, frozen corn, 2015-18, recall
06 Jul 2018 African swine fever - Europe (24): Romania, domestic, spread, concern
06 Jul 2018 E. coli EHEC - USA (21): (TN) O157, 2 clusters, 2 sources
06 Jul 2018 Neospora caninum, bovine - UK: (Wales), spread, prevention
06 Jul 2018 Anthrax - Kenya (04): (KR) bovine, human fatal case
06 Jul 2018 African swine fever - Europe (23): Ukraine, domestic swine, wild boar, OIE
06 Jul 2018 Rift Valley fever - Eastern Africa (11): Rwanda (SU), bovine, spread
06 Jul 2018 Hepatitis E - Namibia (09): (ER) more cases
06 Jul 2018 Hepatitis A - Europe: ex Morocco
05 Jul 2018 Ciguatera toxin - Bahamas: (NW) conch, alert
05 Jul 2018 Yellow fever - Americas (33): Brazil, monkeys
05 Jul 2018 Newcastle disease - Belgium: (OV) poultry, OIE
05 Jul 2018 Brucellosis - USA (03): (OR) B. abortus vaccine infection, needle stick, 2017
05 Jul 2018 African swine fever - Europe (22): Romania (CT) domestic swine, OIE
05 Jul 2018 Nerve agent poisoning - UK (03): (England) Novichok
05 Jul 2018 Foot & mouth disease - China (08): (YN) st O, swine, OIE, RFI
05 Jul 2018 Bovine tuberculosis - France: red fox
05 Jul 2018 Brucellosis - Fiji: (CK,TL) bovine
05 Jul 2018 Botulism, equine - Canada (02): (NS) hay
05 Jul 2018 Equine herpesvirus - North America (24): USA (CA) equine
05 Jul 2018 Strangles, equine - USA (03): (MI)
04 Jul 2018 African swine fever - Europe (21): Romania (BR) domestic, OIE
04 Jul 2018 Yellow fever: vaccine efficacy, reduced doses
04 Jul 2018 Measles update (40): Middle East, Europe, Americas
04 Jul 2018 Listeriosis - South Africa (14): fatal, ST6
04 Jul 2018 E. coli EHEC - Ireland (02): increased numbers
04 Jul 2018 Botulism - Denmark (02): homemade food
04 Jul 2018 Rabies (36): Americas (USA) bat, alert
04 Jul 2018 Ebola update (49): Congo DR, suspect deaths comment
04 Jul 2018 Rift Valley fever - Eastern Africa (10): Kenya, WHO, livestock vaccination
04 Jul 2018 Poliomyelitis update (26): Papua New Guinea, WHO, Congo DR, cVDPVs
04 Jul 2018 Cyclosporiasis - USA (05): (TX)
04 Jul 2018 African swine fever - Europe (20): Romania (TL) domestic swine, spread
04 Jul 2018 Influenza (21): Brazil, viral stability
04 Jul 2018 Nipah virus - India (14): (KL)
03 Jul 2018 Ebola update (48): Congo DR, MSF, susp. deaths, RFI
03 Jul 2018 Botulism, bovine - Ireland: (MH, KE)
03 Jul 2018 Undiagnosed illness, fatal - Zimbabwe: (MN) methanol susp.
03 Jul 2018 Hantavirus - Americas (44): Panama (LS)
02 Jul 2018 Anthrax - Kenya (03): (KR) bovine, human cases
02 Jul 2018 Rift Valley fever - Eastern Africa (09): Kenya, animals
02 Jul 2018 Poliomyelitis update (25): Afghanistan (HM) WPV1
02 Jul 2018 Scabies - United States: (CA) migrants
02 Jul 2018 New in IJID (07): July 2018
02 Jul 2018 White nose syndrome, bats - North America (06): (TN)
02 Jul 2018 Crimean-Congo hem. fever - Iraq: (AR) conf, MOH, RFI
02 Jul 2018 Hepatitis A - USA (27): (WV,UT,MI)
02 Jul 2018 E. coli EHEC - USA (20): O157, romaine lettuce, water source
01 Jul 2018 Rift Valley fever - Eastern Africa (08): Kenya, Uganda, human, animals, spread
01 Jul 2018 Ebola update (47): Congo DR, epidemiology, response, Libya RFI
01 Jul 2018 Rabies (35): Americas (USA)
01 Jul 2018 Lassa fever - West Africa (36): Nigeria (ON)
01 Jul 2018 Influenza (20): USA (IN) swine origin H3N2V, new human case
01 Jul 2018 Amebic meningoencephalitis, primary - Pakistan (03): (SD) fatal
01 Jul 2018 West Nile virus (07): Americas (USA)
01 Jul 2018 Japanese encephalitis & other - India (12): (AS)
30 Jun 2018 Varicella update (11): India (Jamshedpur, JH)
30 Jun 2018 Brucellosis, bovine - Austria: (OO)
30 Jun 2018 Foot & mouth disease - Algeria: (TO) bovine, st O, OIE
30 Jun 2018 Avian influenza (84): Ghana (AH, EP) poultry, HPAI H5, OIE
30 Jun 2018 Japanese encephalitis - Malaysia (02): (SK)
30 Jun 2018 Foot & mouth disease - Zimbabwe (02): (MC) bovine, st not typed, OIE
29 Jun 2018 Malaria - Oman: ex Tanzania, artemisinin treatment failure
29 Jun 2018 MERS-CoV (22): Saudi Arabia, WHO
29 Jun 2018 Varroa mite, apis - Australia: (VI)
29 Jun 2018 Ebola update (46): Congo DR, cases
29 Jun 2018 Malaria - Central African Republic: gorilla, human
29 Jun 2018 Anthrax - India (09): (OR, AD) elephant, ovine, human exposure
29 Jun 2018 Jamestown Canyon virus - USA: (NH) fatal, susp
28 Jun 2018 Avian influenza (83): Denmark, poultry, LPAI H5, OIE
28 Jun 2018 Infectious hematopoietic necrosis, trout - Estonia: (LV) OIE
28 Jun 2018 Japanese encephalitis & other - India (11): (AS)
28 Jun 2018 Anthrax - Kyrgyzstan: (DA) human, susp.
28 Jun 2018 Anthrax - USA (03): (SD) bovine
28 Jun 2018 Epizootic hemorrhagic disease - USA: (TN) cervid, population decline
28 Jun 2018 Poliomyelitis update (24): Global (Papua New Guinea, DR Congo, Somalia), cVDPVs
28 Jun 2018 West Nile virus (06): Europe (Greece) new cases
28 Jun 2018 Undiagnosed respiratory illness - Canada (03): (ON) RFI
28 Jun 2018 Influenza (19): WHO global update, new drug
28 Jun 2018 Usutu virus - Europe (02): France
28 Jun 2018 Crimean-Congo hem. fever - Afghanistan (02): (HR) update
28 Jun 2018 Anisakiasis - Malaysia: ex China, canned sardines
28 Jun 2018 Lassa fever - West Africa (35): Nigeria (ED)
28 Jun 2018 Ebola update (45): Congo DR, cases, outbreak, MSF
28 Jun 2018 Hepatitis A - USA (26): (KY,TN,NC)
27 Jun 2018 Powassan virus encephalitis - USA (03): (RI) 2016
27 Jun 2018 Undiagnosed hemorrhagic fever - Iraq: (QA) RFI
27 Jun 2018 Chryseobacterium indologenes - Spain: (Madrid) nosocomial, fatal, sink drains
27 Jun 2018 Yellow fever - Americas (32): Brazil (MT)
27 Jun 2018 Anthrax - Hungary (02): (JN) bovine, OIE
27 Jun 2018 Hantavirus - Americas (43): Panama (LS)
27 Jun 2018 Leishmaniasis - Syria (03): (ID)
27 Jun 2018 Norovirus - USA (03): (FL)
27 Jun 2018 Gastroenteritis - USA: (NC) restaurant-related, E. coli EPEC susp
27 Jun 2018 Chytrid fungus, frog - Brazil: hybrid lineages, higher virulence
27 Jun 2018 Anaplasmosis, human granulocytic - USA: (NYC) ex transfusion, 2017
27 Jun 2018 European foulbrood, apis - Europe (02): Norway (AA) OIE
27 Jun 2018 Hepatitis E - Bangladesh: (CG) contaminated water susp
27 Jun 2018 Dengue/DHF update (13): Asia, Pacific, WHO
27 Jun 2018 Avian influenza (82): China (QH) poultry, HPAI H5N1, OIE

Published Date: 2018-07-27 12:02:45
Subject: PRO/AH> Cyclosporiasis - USA (08): salad
Archive Number: 20180727.5931455

CYCLOSPORIASIS - USA (08): SALAD
********************************
A ProMED-mail post
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International Society for Infectious Diseases
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Date: Fri 27 Jul 2018 7:17 pm CDT
Source: CBS Chicago, CNN report [edited]
https://chicago.cbslocal.com/2018/07/26/123-more-sick-mcdonalds-salad-parasite/

Federal health officials reported [Thu 26 Jul 2018] an additional 123 cases of cyclospora infection in an outbreak linked to McDonald's salads that began in May [2018].

The total number of laboratory-confirmed illnesses from this outbreak is now 286, according to the US Centers for Disease Control and Prevention. At least 11 of the sick individuals have been hospitalized.

The cyclospora parasite causes intestinal illness in someone who consumed contaminated food or water. Symptoms can begin a week or more after consuming the parasite. They include diarrhea and frequent, sometimes explosive bowel movements, according to the CDC. Those who are infected might also experience loss of appetite, weight loss, stomach cramps or pain, nausea, gas, and fatigue. Vomiting, headache, fever, body aches, and flu-like symptoms can also occur.

The illness can last a few days to a few months, and patients might feel better but then get worse again. Cyclosporiasis can be treated with antibiotics.

The earliest reported illnesses in this outbreak began with symptoms [20 May 2018], and the most recent reported cases began [29 Jun 2018].

"Illnesses that started after [14 Jun 2018], might not have been reported yet due to the time it takes between when a person becomes ill and when the illness is reported. For cyclospora infections, this can take up to 6 weeks," the CDC said. Therefore, the number of cases is likely to increase.

Illnesses have been reported in 15 states: Connecticut, Florida, Iowa, Illinois, Indiana, Kentucky, Michigan, Minnesota, Montana, Nebraska, Ohio, South Dakota, Tennessee, Virginia, and Wisconsin. However, the patients in Connecticut, Michigan, Tennessee, and Virginia bought their salads in Illinois while traveling, and the Florida patient bought the salad in Kentucky.

The source of the outbreak has yet to be determined. The US Food and Drug Administration [FDA] said it "is working with McDonald's to identify the common ingredients in the salads identified by those who became sick and to trace back those ingredients through the supply chain."

On [13 Jul 2018], McDonald's said it was removing its lettuce blend from approximately 3000 locations in 15 states as a precaution. On [20 Jul 2018], the company said the blend was replaced with lettuce from a different supplier.

The CDC and the FDA said this outbreak is not connected to an ongoing outbreak of cyclosporiasis caused by Del Monte Fresh vegetable trays in Iowa, Wisconsin, Minnesota, and Michigan.

--
Communicated by:
ProMED-mail
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[The outbreak is a good illustration of how widespread a foodborne infection can become when few manufacturers supply multiple outlets. The source has not been identified. - Mod.EP

HealthMap/ProMED-mail map of United States: http://healthmap.org/promed/p/106]